PART B - FEE(S) TRANSMITTAL
Complete*^ send this form, together with applicable fee(s), to: Mail
NJ6 1 6 2005
or Fax
Mail Stop ISSUE FEE
Commissioner for Patents
P.O. Box 1450
Alexandria, Virginia 22313-1450
(703) 746-4000
INSTRUCTIONS: This form should be used for transmitting the ISSUE FEE and PUBLICATION FEE (if required). Blocks 1 through 5 should be completed where
v \^ajJDtf]|Rfifltlf^ll further correspondence including the Patent, advance orders and notification of maintenance fees will be mailed to the current correspondence address as
unless corrected below or directed otherwise in Block 1, by (a) specifying a new correspondence address; and/or (b) indicating a separate "FEE ADDRESS" for
maintenance fee notifications.
CURRENT CORRESPONDENCE ADDRESS (Note: Use Block 1 for any change of address)
009561
7590
05/17/2005
Note: A certificate of mailing can only be used for domestic mailings of the
Fee(s) Transmittal. This certificate cannot be used for any other accompanying
papers. Each additional paper, such as an assignment or formal drawing, must
have its own certificate of mailing or transmission.
POPOVICH, WILES & O'CONNELL, PA
650 THIRD AVENUE SOUTH
SUITE 600 ■ —
MINNEAPOLIS, MN 55402
States Postal
Certificate of Mailing or Transmission
addressed to the Mail Stop ISSUE rfcfc address above, or being ta
transmitted to the USPTQ (703) 746-4000, on the date indicated below.
as ''Express Mail Post
Office to Addressee"
Mailing Label No.
EV 729517461 US
Jodi C. Jung
(Depositor's name)
(Signature)
(Date)
APPLICATION NO.
FILING DATE
FIRST NAMED INVENTOR
| ATTORNEY DOCKET NO. | CONFIRMATION NO.
10/051,591 01/18/2002 Rudy Mazzocchi MVA100IUSC4 3250
TITLE OF INVENTION: METHOD AND DEVICE FOR FILTERING BODY FLUID \ 06/18/2005 HBELETES 00000097 10051591
01 FC:1501
02 FC:1504
03 FC i 8001
1400.00 OP
300.00 OP
APPLN. TYPE
SMALL ENTITY
ISSUE FEE
PUBLICATION FEE
TOTAL FEE(S) DUE
■DUE
nonprovisional
NO
$1400
$300
$1700
08/17/2005
EXAMINER
ART UNIT
CLASS-SUBCLASS
BUI, VY Q
3731
606-001000
1. Change of correspondence address or indication of "Fee Address" (37
CFR 1.J63).
Q Change of correspondence address (or Change of Correspondence
Address form PTO/SB/122) attached.
Q "Fee Address" indication (or "Fee Address" Indication form
PTO/SB/47; Rev 03-02 or more recent) attached. Use of a Customer
Number is required.
2. For printing on the patent front page, list
(1) the names of up to 3 registered patent attorneys
or agents OR, alternatively,
(2) the name of a single firm (having as a member a
registered attorney or agent) and the names of up to
2 registered patent cttomeys or agents. If no name is
listed, no name will be printed.
Popovich, Wiles &
0'Connell, P. A.
3. ASSIGNEE NAME AND RESIDENCE DATA TO BE PRINTED ON THE PATENT (print or type)
PLEASE NOTE: Unless an assignee is identified below, no assignee data will appear on the patent. If an assignee is identified below, the document has been filed for
recordation as set forth in 37 CFR 3.11. Completion of this form is NOT a substitute for filing an assignment.
(A) NAME OF ASSIGNEE
ev3 Inc.
(B) RESIDENCE: (CITY and STATE OR COUNTRY)
Plymouth, Minnesota (U.S.A.)
Please check the appropriate assignee category or categories (will not be printed on the patent) : Individual §J Corporation or other private group entity Q Government
4a. The following fee(s) are enclosed:
t3 Issue Fee
Publication Fee (No small entity discount permitted)
O&dvance Order - # of Copies 10
4b. Payment of Fee(s):
Ql A check in the amount of the fee(s) is enclosed.
□ Payment by credit card. Form PTO-2038 is attached.
O The Director is hereby apihor«edibpr charge the required fee(s), or credit any overpayment, to
Deposit Account Number 1Q~£Q1£ (enclose an extra copy of this form).
5. Change in Entity Status (from status indicated above)
□ a. Applicant claims SMALL ENTITY status. See 37 CFR 1.27.
□ b. Applicant is no longer claiming SMALL ENTFTY status. See 37 CFR 1.27(g)(2).
The Director of the USPTO is requested to apply the Issue Fee and Publication Fee (if any) or to re -apply any previously paid issue fee to the application identified above.
NOTE: The Issue Fee and Publication Fee (if required) will not be accepted from anyone other than the applicant; a registered attorney or agent; or the assignee or other party in
interest as shown by the records of the United States Patent and^ra/lemark Office.
This collection of information fc-f€quired by 37 CFR 1.311. The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO to process)
an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.14. This collection is estimated to take 12 minutes to complete, including gathering, preparing, and
submitting the completed application form to the USPTO. Time will vary depending upon the individual case. Any comments on the amount of time you require to complete
this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and Trademark Office, U.S. Department of Commerce, P.O.
Box 1450, Alexandria, Virginia 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450,
Alexandria, Virginia 22313-1450.
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTOL-85 (Rev. 12/04) Approved for use through 04/30/2007.
OMB 0651-0033 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE